Dr. Alexander Rivkin
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Hyperhidrosis, Sweaty Palms & Excessive Sweating

Hyperhidrosis is a medical condition that causes excessive and unpredictable sweating in the palms, underarms, feet or face. Sweaty palms or excessive sweating/ hyperhidrosis affects about 1 in 25 people. Those affected seem to have overactive sweat glands, that are more easily triggered into sweat production by anxiety and other heightened emotional states. The most common forms of hyperhidrosis are palmar hyperhidrosis (sweaty palms) and axillary hyperhidrosis (excessive underarm sweating.)

In general, Dr. Rivkin prefers to use the least invasive procedure possible to achieve the results that his patients are seeking. We are fortunate that BOTOX® is a safe and effective remedy for excessive sweating. At Westside Aesthetics, we use BOTOX as our primary method of treatment for hyperhidrosis.

Main Treatment Options for Excessive Sweating

Topical treatments

Powders such as talcum or corn starch can offer some relief for mild cases of excessive sweating. Short-term relief can be obtained by applying it to the hands or underarms.We have seen that the aluminum based lotions (DrySol) are more effective topical solutions. Some patients can experience skin irritation or stained clothing, but DrySol can be used effectively when worn overnight and washed off in the morning.

Iontophoresis

Iontophoresis uses a small electric charge to deliver medicine through the skin, while your palm is submerged in water. Treatments are taken on a nightly basis. Iontophoresis often works for mild cases, but the treatment requires many sessions and many people find it time consuming and inconvenient.

Oral Anticholingergics

Acetylcholine is the neurotransmitter that triggers sweat glands to produce sweat. Anticholingergics counteract acetylcholine and therefore reduce sweating. Unfortunately, these medications can have unpleasant side effects including dry mouth and constipation.

BOTOX®

BOTOX is the most popular treatment for excessive sweating of the palms and underarms. BOTOX weakens the nerves that supply the sweat glands, preventing the release of acetycholine, and therefore greatly reducing or eliminating sweating in the treated area. Treatments for hyperhidrosis typically do not use enough BOTOX to significantly affect muscle motion, although the patient may experience some slight muscle weakness in the treated area. The benefits of treating hyperhidrosis with BOTOX lasts around 1 year and several areas of the body can be injected on the same visit. Dr. Rivkin recommends this treatment for hyperhidrosis as he has found it to be the safest and most effective therapy.

Surgery

For extreme cases in which the patient does not respond to other treatment, surgery is an option. Endoscopic Thoracic Sympathectomy is the surgical procedure for excessive sweating and is performed under general anesthesia. A small incision is made and the nerves which control sweating are clamped or cut. Dr. Rivkin always recommends trying less invasive procedures before resorting to surgery.

Dr. Rivkin is personally involved in every treatment and can be contacted with any problems at any time.

You can also read frequently asked questions about Botox treatment here.

Dr. Rivkin’s patients know that they can get in touch with him at any time. He’s always in the office at Westside Aesthetics, and is personally involved in every treatment.

During your free initial consultation, Dr. Rivkin will evaluate your individual needs, explain your options, and recommend a course of treatment. To learn more about Dr. Rivkin’s techniques for treating hyperhydrosis and sweaty palms, contact us today.


11645 Wilshire Blvd., Suite 800, Los Angeles, CA 90025  |  (310) 443-5273

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